Summary
Twenty-one children with impalement injury of the palate have been treated in the past seven years. Sixteen of them were treated by primary surgical repair, and the remaining five patients were managed conservatively after ascertaining that there was no perforation. All the wounds healed satisfactorily without any postoperative complications. It has hence been emphasized that though serious complications are known to occur, they are extremely rare, unlike the feeling one gets while going through the literature.
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References
Bickerstaff ER (1964) Aetiology of severe hemiplegia in childhood. Br Med J 2:82
Braudo M (1956) Thrombosis of the internal carotid artery in childhood after injuries in the region of the soft palate. Br Med J 1:665
Caldwell JA (1936) Post-traumatic thrombosis of interior carotid artery. Am J Surg 32:522
Chevel'cha NI (1967) Injury of a child's palate by a cow's horn. Vestn Otorinolaringol 29:101
Crawford BS (1970) The management of perforating wounds of the palate. Br J Plast Surg 23:262
Domarus HV, Poeschel W (1983) Impalement injuries of the palate. Plast Reconstr Surg 72:656
Fairburn B (1957) Thrombosis of internal carotid artery after soft palate injury. Br Med J 2:540
Gray P (1991) An unusual case of traumatic haematoma of soft palate. J Laryngol Otol 105:1116
Hengerer AS, DeGroot TR, Rivers RJ Jr, Pettee DS (1984) Internal carotid artery thrombosis following soft palate injuries: a case report and review of 16 cases. Laryngoscope 94:1571
Holyst J (1976) Internal carotid artery occlusion due to intraoral trauma. Acta Neurochir 33:325
Leriche R (1950) Hemiplégie gauche consecutive à une contusion de la carotide interne chez un enfant: traitment par cing infiltrations steusunes; grerison à peu près complete. Lyons Chir 45:541
Liu GT, Deskin RW, Bienfang DC (1992) Horner's syndrome caused by intraoral trauma. J Clin Neuroophthalmol 12:110
Mains B, Nagle M (1989) Thrombosis of the internal carotid artery due to soft palate injury. J Laryngol Otol 103:796
Miller JDR, Ayers TN (1967) Post-traumatic changes in the internal carotid artery and its branches: an arteriographic study. Radiology 89:95
Phillippides D, Linck P, Montrieu B (1954) Thrombose de la carotide interne par contusion brune para-amygpalience. Rev Otoneurophthalmol 26:39
Pitner SE (1966) Carotid thrombosis due to intraoral trauma. N Engl J Med 274:764
Shanon E, Cohn D, Streifler M, Rapoport Y (1972) Penetrating injuries of the parapharyngeal space. Arch Otolaryngol 96:256
Shillito J Jr (1964) Carotid arteritis — a cause of hemiplegia in childhood. J Neurosurg 21:540
Smith MEN (1959) Injuries of the palate and fauces in children. Br J Clin Pract 13:714
Woodhurst WB, Robertson WD, Thompson GB (1980) Carotid injury due to intraoral trauma: case report and review of the literature. J Neurosurg 6:559
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Agrawal, K., Sudhakar, P.V. Impalement injuries of the palate in children. Eur J Plast Surg 17, 87–90 (1994). https://doi.org/10.1007/BF00176922
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DOI: https://doi.org/10.1007/BF00176922